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Organization

CONNECTED PHYSICAL THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KELLY CATHERINE MARTIN PT (OWNER)
(541) 500-1779
Entity
Organization

Contact information

Practice address
2627 SISKIYOU BLVD STE 102, MEDFORD, OR 97504-8188
(541) 500-1779
(541) 500-1943
Mailing address
2627 SISKIYOU BLVD STE 102, MEDFORD, OR 97504-8188
(541) 500-1779
(541) 500-1943

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5148
OR

Other

Enumeration date
10/27/2015
Last updated
12/13/2021
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